MRS. REBECCA TRUELOVE MOORE FNP-BC
NPI 1134558653
Nurse Practitioner - Family in Canton, MS
About Mrs. Rebecca Truelove Moore Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. REBECCA TRUELOVE MOORE FNP-BC (NPI 1134558653) is an individual family provider in Canton, Mississippi, licensed in Mississippi (R878648) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Rebecca Truelove Moore Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Rebecca Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Dominic-Jackson Memorial Hospital
Acute Care Hospitals · Jackson, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rebecca Moore's NPI number?
The NPI number for Rebecca Moore is 1134558653. It was assigned to this individual provider in the NPPES registry on November 5, 2013.
Where is Rebecca Moore located?
Rebecca Moore practices at 156 River Oaks Dr Suite A, Canton, MS 39046. The listed phone number is (601) 855-5287.
What is Rebecca Moore's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rebecca Moore enrolled in Medicare?
Yes. Rebecca Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Rebecca Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Moore reassigns Medicare benefits to Lakeland Surgical Clinic PLLC (Jackson, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rebecca Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rebecca Moore accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Rebecca Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Rebecca Moore affiliated with any hospitals?
According to CMS data, Rebecca Moore is affiliated with St Dominic-Jackson Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Rebecca Moore was last updated on November 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Rebecca Truelove Moore, FNP-BC · NPI 1134558653
Family physician in Canton, Mississippi. Individual provider, active in the CMS NPPES registry since November 5, 2013.
## Identity
- **NPI:** 1134558653 (Entity type: Individual)
- **Enumerated:** November 5, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R878648 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 156 RIVER OAKS DR, SUITE A, Canton, MS 39046-5376
- **Phone:** (601) 855-5287
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lakeland Surgical Clinic PLLC (NPI 1649499740, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** November 5, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1134558653) · Data from the CMS NPPES public registry.